ABSTRACT
This chapter describes an interdisciplinary approach to relational work with a couple, in the context of a holistic neuro-psychological rehabilitation programme. The issues for the couple were conceptualized using the 'Y-shaped' model of change that highlights threat to self and discrepant social identity as key targets for change after brain injury. An activity-based approach to rehabilitation, derived from the model, is illustrated in by using behavioural experiments, as a means of linking 'doing' and 'meaning'. Integrating cognitive rehabilitation efforts with the personal and social contexts of the individual is critical since the 'contexts of importance' influence interactions between impairment and activity, and also influence interactions between activities and social participation. A characteristic of cognitive rehabilitation is the provision of internal and external aids or strategies to circumnavigate identified cognitive impairments and thus reduce disability and progress in personally meaningful social participation goals.
